Tramadol is another medication used to relieve moderate to moderately severe pain. It's similar to opioids in its pain-relieving effects but is considered to have a lower risk of dependence and abuse compared to traditional opioids like oxycodone or morphine. Tramadol works by binding to opioid receptors in the brain and also inhibiting the reuptake of serotonin and norepinephrine, which can help enhance its pain-relieving effects.

While tramadol is often perceived as safer than other opioids, it still carries some risks, including the potential for addiction, dependence, and overdose, especially when misused. Common side effects of tramadol may include nausea, vomiting, constipation, dizziness, and drowsiness.